| NPI | 1821252925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 55009) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A104877) |
| 207X00000X Orthopaedic Surgery (Licence: TX N8570) | |
| 207X00000X Orthopaedic Surgery (Licence: CO 48139) | |
| 207X00000X Orthopaedic Surgery (Licence: CA A104877) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO 48139) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2025-12-11 |